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目的:分析探讨剖宫产瘢痕妊娠的诊断方法和治疗手段。方法:选取我院于2013年3月至2014年5月收治的剖宫产瘢痕妊娠患者80例作为临床研究对象,对患者的临床资料进行回顾性分析,探讨患者的诊断方法和个体化的治疗结果和结局。结果:根据研究结果,本次研究的80例患者中,被误诊为稽留流产的有2例,被误诊为早孕外院而行刮宫术的有1例;主诉有停经史和阴道少量出血的患者有42例,无症状者经彩超直接确诊的有12例,共有54例患者在治疗前确诊。在诊断方法上,超声检查、核磁共振成像检查、妇科检查、血CG检查等综合运用可以帮助确诊。在治疗方法上,要根据患者的彩超检查和血CG检查来制定治疗方案。结论:剖宫产瘢痕妊娠误诊的几率较大,患者应早诊断早治疗。
Objective: To analyze the diagnosis and treatment of cesarean scar pregnancy. Methods: Eighty pregnant women with cesarean scar pregnancy treated in our hospital from March 2013 to May 2014 were selected as the clinical study subjects. The clinical data of the patients were retrospectively analyzed to explore the diagnostic methods and individualized treatment Results and outcome. Results: According to the results of the study, 80 patients in this study were misdiagnosed as missed abortion in 2 cases, misdiagnosed as early pregnancy outside the hospital and curettage in 1 case; chief complaint of menopausal history and vaginal bleeding in patients with a small amount of 42 cases, asymptomatic directly diagnosed by color Doppler ultrasound in 12 cases, a total of 54 patients diagnosed before treatment. In the diagnostic methods, ultrasound, MRI, gynecological examination, blood CG examination and other comprehensive use can help confirm the diagnosis. In the treatment, according to the patient’s color Doppler ultrasound examination and CG to develop treatment options. Conclusion: The risk of misdiagnosis of cesarean scar pregnancy is larger, patients should be diagnosed early treatment.